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  • Student's Name REQUIRED Please fill out this field. Please enter valid data.
  • Student's Grade and School REQUIRED Please fill out this field. Please enter valid data.
  • Student's Date of Birth (Day/Month/Year) REQUIRED Please fill out this field. Please enter valid data.
  • Name of Father REQUIRED Please fill out this field. Please enter valid data.
  • Name of Mother REQUIRED Please fill out this field. Please enter valid data.
  • Home Phone Number REQUIRED Please fill out this field. Please enter valid data.
  • Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
  • Email of Parent REQUIRED Please fill out this field. Please enter valid data.
  • Home Address REQUIRED Please fill out this field. Please enter valid data.
  • Parish of Baptism & Location of Parish REQUIRED Please fill out this field. Please enter valid data.
  • Date of Baptism REQUIRED Please fill out this field. Please enter valid data.

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